HomeMy WebLinkAboutX2021-2180 - PermitsCity of Newport Beach - Building Division
d� 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
'ayxyxi�r,+` Combination Type - SFP
*X2021-2180* COMB Permit: X2021-2180
Project No : 1884-2021
INa.+;`�' T- 1p'- irl Issued Date : 08/1912021
� `� Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0811912024 OR PERMIT WILL BE INVALID
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 1417 KEEL DR NB
Description: SFR ATTACHED CALIFORNIA RM (NON CONDITIONED) 384 SF, NEW LA CANTINA & FRENCH DOOR, R/R WINDOW
Legal Desc.: N TR 6634 LOT 77 ......
Owner:
MELICAN CLAUDINE
Address:
1417 KEEL DR
CORONA DEL MAR, CA 92625
Phone:
Applicant:
DENMARK STEPHEN
Address:
2706 MESA DR
OCEANSIDE, CA 92054
Phone:
413.575.1969
Code Edit : 2019
Type of Construction: V-B
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: N
Building Permit Fee: $1,033.00
Plan Check Fee: $898.71
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$12.00
Energy Compliance:
$0.00
CA Seismic Safety:
$10.14
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee i
$4.00
TOTAL FEE: $2,009.85
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: HAWKER CONSTRUCTION
Address: 1531 LOWER LAKE CT
CARDIFF BY THE SEA, CA 92007
Phone: 714-743-7110
Con State Lic:
930312
Lic Expire:
01/31/2023
Bus Lic:
BT30063937
Lic Exp Date:
07/31/2022
Worker's Compensation Insurance
Carrier: INS OF THE WEST
Policy No: WSA505347801
Expire: 01/27/2022
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 6
Front: 20
Left: 6
Right: 6
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Architect:
Address:
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Phone:
State Lic:
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Engineer:
9
FORBES DALE L
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Address:
1800E16TH ST#13
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SANTA ANA CA 92701
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Phone:
714-835-2800 State LicC-030407
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Designer:
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Address:
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Phone:
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Special Conditions:
Zone
$0.00
Planning Department-
Fire Department
$0.00
Plan check Fee :
$52.00
Fire Inspection:
$0.00
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
$0.00
SJH Trans :
$0.00
Demolition Fee
$0.00
In -lieu Housing Fee :
$0.00
Building Dept Adm
$0.00
$0.00
Public Works Department -
General Service
$0.00
$0.00
Park Dedication: $0.00
Refund Deposit
$0.00
PAN Plan Check, $0.00
Grading Bond:
$0.00
$0.00
San Dist: $0.00
$0.00
NMUSD Fee: $0.00
$0.00
$0.00
-
$0.00
Plan Check Fee
: $950.71 Fee Due at Permit Issuance :
$1,059.14
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
improved for the purpose of sale).
I, as owner gf4lle property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The ContractorsState License Law does not
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt frop licensure under the Contractors' State License Law for the following reason:
8yV signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
,�ssell a, structure 4hat 1 have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Profeseions Cod@, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
f"NSED 66VYR'ACTOR'S DECLARATION
'I heTcfiy affirm tuner penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 0) f ivi ion 3 of the Business and Pro ions and li Sre i full force
anU•eFfect. LiCP•gag•Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARIOM{r: FAILURF•TO BETURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE
�O T ORCOMPENSATION,VAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
piiireby affirm under penalty of perjury one of the following declarations:
• •1-1 ve and•diill • 41ritain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for tht
�performance of the work for which this permit is issued. Policy No.
' )I -Dave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior
Asurance carrier and policy number are:
Policy Number
me of Agent
Date
I certify that, in the performance o the work forwhich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
It, if I should become,su ject to rk ' Cpp�ldan Ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. a1/r
matureof Applicant /AI�IUIN�� Date
iCLARATION REGA0lN�CON9TUYTG�ION LE IN CY
areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil ode).
rider's Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
have read this application and the information I have pro ded is correct.
1 agree to comply with all applicable city and county ordin as and state laws relating to building construction.
I authorize representatives of this city or count ent a v = noperty for inspection purposes. 8 /
mature of Prooertv Owner or Authorized Agent t 1 v� Print Property Owners or Authorized Agent's Name ��
Pya( b6N WDate A/ /7i
ACTION DATE BY J REGCLARATION ULATIONS OF COMPLIANCE
T E WITH
AND CODE
OF FEDEFEDERAL FOR OFFICE USE ONLY
PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED EPA
PERMIT EXTENDED AQMD
TO
CERTIFICATEOF S PROPOSED
OCCUPANCY ISSUED
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